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Contact Information

JOHN M CREASY, MD
4805 NE GLISAN ST STE 11N
PORTLAND, OR97213-2933
 Phone: 503-215-8650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN M CREASY · (Male)

NPI # 1336415140
Status Active
Credentials MD
Entity Individual
Enumeration date 03/26/2012
Last updated 04/19/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD205855
  • OR Medicaid 500795850
  • WA Medicaid 2182679
Hospital affiliation(s)
  • LEGACY GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1015 NW 22ND AVENUE, W121
    PORTLAND, OR 97210
  • PROVIDENCE NEWBERG MEDICAL CENTER - (Acute Care)
    1001 PROVIDENCE DRIVE
    NEWBERG, OR 97132
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE SEASIDE HOSPITAL - (Critical Access)
    725 S WAHANNA ROAD
    SEASIDE, OR 97138
  • PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care)
    9205 SW BARNES ROAD
    PORTLAND, OR 97225
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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